Pediatric Resident Insulin Management Education (PRIME): A Single-Session Workshop Emphasizing Active Learning
Introduction Insulin is a high-risk medication, and errors can lead to patient morbidity and mortality. The American Board of Pediatrics recommends that all board-certified pediatricians be able to develop an insulin management plan for patients with diabetes. A needs assessment of pediatric residen...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Association of American Medical Colleges
2023-02-01
|
| Series: | MedEdPORTAL |
| Subjects: | |
| Online Access: | http://www.mededportal.org/doi/10.15766/mep_2374-8265.11301 |
| _version_ | 1797902053000871936 |
|---|---|
| author | Caroline Schulmeister Ellen Laves Jenise Wong Abby Walch |
| author_facet | Caroline Schulmeister Ellen Laves Jenise Wong Abby Walch |
| author_sort | Caroline Schulmeister |
| collection | DOAJ |
| description | Introduction Insulin is a high-risk medication, and errors can lead to patient morbidity and mortality. The American Board of Pediatrics recommends that all board-certified pediatricians be able to develop an insulin management plan for patients with diabetes. A needs assessment of pediatric residents revealed low self-efficacy at developing a new subcutaneous insulin plan despite didactic instruction on the topic. Methods We created a 90-minute interactive workshop that targeted resident skills in devising subcutaneous insulin plans. Learners engaged in small-group, problem-based learning and peer teaching to promote active learning and participation. We compared self-efficacy and knowledge before and after the intervention using paired t tests and evaluated learner satisfaction. Results Twenty-eight pediatric interns participated, with 25 completing both the pre- and postworkshop surveys. The primary outcome was self-efficacy (an individual's confidence in the ability to perform a specific task in a given domain). There was a statistically significant improvement in self-efficacy at creating a new subcutaneous insulin plan ( p < .001) as well as knowledge ( p < .001) after course completion. Learners were highly satisfied with the course, with a mean overall conference quality rating of 4.8 (SD = 0.4) based on a 5-point Likert scale (1 = poor, 5 = outstanding). Discussion An interactive workshop employing active learning methods resulted in improved self-efficacy and knowledge in first-year pediatric residents. Future work is needed to determine the impact of this workshop on patient care outcomes. |
| first_indexed | 2024-04-10T09:11:42Z |
| format | Article |
| id | doaj.art-0b4d9de483854e1fbf1b0ee526539840 |
| institution | Directory Open Access Journal |
| issn | 2374-8265 |
| language | English |
| last_indexed | 2024-04-10T09:11:42Z |
| publishDate | 2023-02-01 |
| publisher | Association of American Medical Colleges |
| record_format | Article |
| series | MedEdPORTAL |
| spelling | doaj.art-0b4d9de483854e1fbf1b0ee5265398402023-02-21T05:00:07ZengAssociation of American Medical CollegesMedEdPORTAL2374-82652023-02-011910.15766/mep_2374-8265.11301Pediatric Resident Insulin Management Education (PRIME): A Single-Session Workshop Emphasizing Active LearningCaroline Schulmeister0Ellen Laves1Jenise Wong2Abby Walch3Clinical Fellow, Division of Pediatric Endocrinology, Department of Pediatrics, University of California, San Francisco, School of Medicine; Assistant Professor, Division of Endocrinology, Department of Pediatrics, University of California, Davis, School of MedicineAssociate Professor, Department of Pediatrics, University of California, San Francisco, School of MedicineAssociate Professor, Division of Endocrinology, Department of Pediatrics, University of California, San Francisco, School of MedicineClinical Fellow, Division of Pediatric Endocrinology, Department of Pediatrics, University of California, San Francisco, School of MedicineIntroduction Insulin is a high-risk medication, and errors can lead to patient morbidity and mortality. The American Board of Pediatrics recommends that all board-certified pediatricians be able to develop an insulin management plan for patients with diabetes. A needs assessment of pediatric residents revealed low self-efficacy at developing a new subcutaneous insulin plan despite didactic instruction on the topic. Methods We created a 90-minute interactive workshop that targeted resident skills in devising subcutaneous insulin plans. Learners engaged in small-group, problem-based learning and peer teaching to promote active learning and participation. We compared self-efficacy and knowledge before and after the intervention using paired t tests and evaluated learner satisfaction. Results Twenty-eight pediatric interns participated, with 25 completing both the pre- and postworkshop surveys. The primary outcome was self-efficacy (an individual's confidence in the ability to perform a specific task in a given domain). There was a statistically significant improvement in self-efficacy at creating a new subcutaneous insulin plan ( p < .001) as well as knowledge ( p < .001) after course completion. Learners were highly satisfied with the course, with a mean overall conference quality rating of 4.8 (SD = 0.4) based on a 5-point Likert scale (1 = poor, 5 = outstanding). Discussion An interactive workshop employing active learning methods resulted in improved self-efficacy and knowledge in first-year pediatric residents. Future work is needed to determine the impact of this workshop on patient care outcomes.http://www.mededportal.org/doi/10.15766/mep_2374-8265.11301PediatricsEndocrinologyPediatric EndocrinologyInsulinDiabetesCase-Based Learning |
| spellingShingle | Caroline Schulmeister Ellen Laves Jenise Wong Abby Walch Pediatric Resident Insulin Management Education (PRIME): A Single-Session Workshop Emphasizing Active Learning MedEdPORTAL Pediatrics Endocrinology Pediatric Endocrinology Insulin Diabetes Case-Based Learning |
| title | Pediatric Resident Insulin Management Education (PRIME): A Single-Session Workshop Emphasizing Active Learning |
| title_full | Pediatric Resident Insulin Management Education (PRIME): A Single-Session Workshop Emphasizing Active Learning |
| title_fullStr | Pediatric Resident Insulin Management Education (PRIME): A Single-Session Workshop Emphasizing Active Learning |
| title_full_unstemmed | Pediatric Resident Insulin Management Education (PRIME): A Single-Session Workshop Emphasizing Active Learning |
| title_short | Pediatric Resident Insulin Management Education (PRIME): A Single-Session Workshop Emphasizing Active Learning |
| title_sort | pediatric resident insulin management education prime a single session workshop emphasizing active learning |
| topic | Pediatrics Endocrinology Pediatric Endocrinology Insulin Diabetes Case-Based Learning |
| url | http://www.mededportal.org/doi/10.15766/mep_2374-8265.11301 |
| work_keys_str_mv | AT carolineschulmeister pediatricresidentinsulinmanagementeducationprimeasinglesessionworkshopemphasizingactivelearning AT ellenlaves pediatricresidentinsulinmanagementeducationprimeasinglesessionworkshopemphasizingactivelearning AT jenisewong pediatricresidentinsulinmanagementeducationprimeasinglesessionworkshopemphasizingactivelearning AT abbywalch pediatricresidentinsulinmanagementeducationprimeasinglesessionworkshopemphasizingactivelearning |